Active NPI
Ak Avc 'U' Dental Care PC
- Dentist
- Brooklyn, NY
National Provider Identifier
1881670008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047740
- Legal business name
- AK AVC 'U' DENTAL CARE PC
- Practice address
- 428 Avenue U
Brooklyn, NY 11223-4049 - Phone
- (718) 627-3682
- Fax
- (718) 627-3683
- NPI assigned
- Dec 20, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Albert Ezra Kadaa, DDS
- Title
- President Owner
- Phone
- (718) 627-3682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 047740 | NY | Primary |
Addresses
Primary practice location
428 Avenue U
Brooklyn, NY 11223-4049
Mailing address
428 Avenue U
Brooklyn, NY 11223-4049
Phone (718) 627-3682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01877747 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881670008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234049",
"telephone_number": "718-627-3682",
"fax_number": "718-627-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234049",
"telephone_number": "718-627-3682",
"fax_number": "718-627-3683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AK AVC 'U' DENTAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KADAA",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "EZRA",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "718-627-3682",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01877747",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.